Escherichia coli Cellulitis in Children With Idiopathic Nephrotic Syndrome

Basim I. Asmar, Bassam N. Bashour, Larry E. Fleischmann

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


Although Streptococcus pneumoniae is traditionally considered the preponderant bacterial pathogen in children with nephrotic syndrome, recent data suggest an increase of infections with encapsulated gram-negative organisms. We report two children with idiopathic nephrotic syndrome in relapse who developed spontaneous Escherichia coli cellulitis. The organism was recovered from the cellulitis tissue aspirate of one, and from the blood of the other. Both patients responded to appropriate antibiotic therapy. Initial treatment of sepsis, peritonitis or spontaneous cellulitis in nephrotic patients should include broad spectrum antibiotic coverage pending results of appropriate cultures.

Original languageEnglish
Pages (from-to)592-594
Number of pages3
JournalClinical Pediatrics
Issue number11
StatePublished - Nov 1987


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